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高等级窦汇区硬脑膜动静脉瘘:安全牺牲直窦的技术要点。

High grade torcular DAVF: Technical aspects to safely sacrifice the straight sinus.

作者信息

Lord James, Al-Tibi Mohammad, Volders David, Radovanovic Ivan, Terbrugge Karel, Krings Timo, Hendriks Eef J

机构信息

Division of Neuroradiology, University Medical Imaging Toronto and Joint Department of Medical Imaging, University Health Network, Toronto Western Hospital, Canada.

Department of Neurosurgery, University Health Network, Toronto Western Hospital, Canada.

出版信息

Neuroradiol J. 2025 Aug 5:19714009251362825. doi: 10.1177/19714009251362825.

DOI:10.1177/19714009251362825
PMID:40762170
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12325241/
Abstract

High grade torcular DAVFs can be challenging to treat, particularly when there is retrograde flow in the straight sinus and deep venous system. We describe the technical steps to safely sacrifice the straight sinus, including preoperative MRI findings, arterial and venous cerebral flow assessment and key points for endovascular treatment.

摘要

高级别窦汇区硬脑膜动静脉瘘(DAVFs)的治疗具有挑战性,尤其是当直窦和深部静脉系统存在逆流时。我们描述了安全牺牲直窦的技术步骤,包括术前MRI表现、脑动脉和静脉血流评估以及血管内治疗的关键点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7390/12325241/1d150de84fca/10.1177_19714009251362825-fig6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7390/12325241/9fa8ec1c68c6/10.1177_19714009251362825-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7390/12325241/856a46d10598/10.1177_19714009251362825-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7390/12325241/ba321e091f6e/10.1177_19714009251362825-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7390/12325241/1ed5be96c404/10.1177_19714009251362825-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7390/12325241/cb3a485dab6e/10.1177_19714009251362825-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7390/12325241/1d150de84fca/10.1177_19714009251362825-fig6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7390/12325241/9fa8ec1c68c6/10.1177_19714009251362825-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7390/12325241/856a46d10598/10.1177_19714009251362825-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7390/12325241/ba321e091f6e/10.1177_19714009251362825-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7390/12325241/1ed5be96c404/10.1177_19714009251362825-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7390/12325241/cb3a485dab6e/10.1177_19714009251362825-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7390/12325241/1d150de84fca/10.1177_19714009251362825-fig6.jpg

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本文引用的文献

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Acquired progressive torcular dural arteriovenous fistula after subtotal resection of peritorcular meningioma.获得性进展性环窦硬脑膜动静脉瘘在颅外膜脑膜瘤次全切除术后。
BMJ Case Rep. 2024 Nov 28;17(11):e260637. doi: 10.1136/bcr-2024-260637.
2
Recognition of dural to pial supply in high-grade dural arteriovenous fistula: A technical note.高级别硬脑膜动静脉瘘中硬脑膜至软脑膜供血的识别:技术说明
Interv Neuroradiol. 2024 Oct 8:15910199241272596. doi: 10.1177/15910199241272596.
3
Transarterial Embolization of Dural Arteriovenous Fistulas: Conventional, Pressure Cooker, and Microballoon Catheter Embolization Techniques.
Oper Neurosurg. 2024 Jul 1;27(1):65-71. doi: 10.1227/ons.0000000000001066. Epub 2024 Jan 22.
4
Basal vein of Rosenthal classification: the key to venous outflow of the deep sylvian fissure.Rosenthal 基底静脉分类:深部大脑外侧裂静脉流出的关键。
J Neurosurg. 2024 Jan 5;141(1):154-164. doi: 10.3171/2023.10.JNS23881. Print 2024 Jul 1.
5
Endovascular Treatment of Borden Type III Transverse-sigmoid Sinus Dural Arteriovenous Fistulas: a Single-center 12-year Experience.博登III型横窦-乙状窦硬膜动静脉瘘的血管内治疗:单中心12年经验
Clin Neuroradiol. 2023 Mar;33(1):161-169. doi: 10.1007/s00062-022-01197-4. Epub 2022 Jul 20.
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Embolization strategies for intracranial dural arteriovenous fistulas with an isolated sinus: a single-center experience in 20 patients.孤立性静脉窦的颅内硬脑膜动静脉瘘的栓塞策略:20例患者的单中心经验
J Neurointerv Surg. 2022 Jun;14(6):605-610. doi: 10.1136/neurintsurg-2021-017652. Epub 2021 Jun 3.
7
Ethmoidal dural arteriovenous fistulas: endovascular transvenous embolization technique.筛骨硬脑膜动静脉瘘:血管内经静脉栓塞技术。
J Neurointerv Surg. 2020 Jun;12(6):610. doi: 10.1136/neurintsurg-2019-015691. Epub 2020 Jan 24.
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Interv Neuroradiol. 2018 Aug;24(4):450-454. doi: 10.1177/1591019918764090. Epub 2018 Mar 21.
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